Healthcare Provider Details

I. General information

NPI: 1528866126
Provider Name (Legal Business Name): TIFFANY NICOLE HOWELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 HIGHWAY 31 S
DECATUR AL
35603-1538
US

IV. Provider business mailing address

497 ROCKVALE RD
UNION GROVE AL
35175-5241
US

V. Phone/Fax

Practice location:
  • Phone: 256-353-2000
  • Fax:
Mailing address:
  • Phone: 256-679-1016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number1-147257
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: